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    Protest Tool Kit:

    Practical Advice in the Fight forSingle-Payer Health Care

    Created by the Chicago Single-Payer Action Network

    CSPAN

    www.chispan.org

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    Created by CSPANSpring 2008

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    Protest Tool Kit:

    Practical Advice in the Fight for

    Single-Payer Health Care

    CSPAN is a Chicago-based grassroots group fighting to win guaranteedhealth care for all. We believe private insurance is a barrier to health care andshould be eliminated. We are building the movement for a single-payer healthcare system through education and action.

    We created this tool kit to assist other single-payer groups in organizingprotests of insurance companies. The photographs in this manual were all takenduring our protests in Chicago. We hope you will find this tool kit helpful inorganizing your own protests.

    Please contact us if you have any questions. Also, please let us know ofyour own experiences. We would love to hear from you.

    Chicago Single-Payer Action Network (CSPAN)

    [email protected]

    www.chispan.org

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    Before the Protest

    CSPAN recommends allowing at least 6 weeks to plan your protest.

    Outreach

    Organize an outreach committee. The outreach committee identifies andcontacts allies who are within the single-payer movement already. For example,CSPAN met and developed a plan to confirm that Physicians for a NationalHealth Program (PNHP) and the National Nurses Organizing Committee (NNOC)were contacted, even though one of our members is a member of PNHP. Wealso asked that each of these organizations help build the picket amongst itsmembership (we developed an e-mail announcement and flyer to distribute).

    Determine additional groups to contact who are new or not as active in themovement. This can include trade unions for health and non-health care workers,

    as well as student groups, community groups, churches, etc. Health care is oneof the top three issues in the upcoming 2008 elections, precisely because itaffects a majority of people in the U.S.

    Getting out representatives from each group, especially if they have notbeen very involved in past actions is a fantastic step forward for our movement intwo ways. First, it helps to build participants confidence knowing they are part ofa group of people who feel similarly about fighting for better health care, andsecond it helps your group network for the future, meeting new/more seasonedactivists alike. For each participant, get a name, telephone number and emailaddress in order to stay in touch for future actions and events. Plan to have

    representatives from as many groups as possible speak briefly at the protest inorder to engage people and also to show the breadth of representation.

    Flyer

    Create a flyer to advertise your protest. Post your flyer where people willsee it. See page 6 for an example of a CSPAN flyer.

    Use your flyer to leaflet health care-related events such as meetings,speakers or movies in order to draw in new people who are not happy with healthinsurance companies denying people coverage, but may not fully understanding

    single-payer as an option or have questions about its viability. Also, going to ananti-war or immigrant rights demonstration is a good idea, if you have such anopportunity, in order to be able to argue the connections between these issuesand the fight for single-payer.

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    Handout

    Create a handout for use during your protest. The handout should haveinformation about single-payer health care and information to help people getinvolved. See pages 11 and 12 for an example of a two-sided CSPAN handout.

    Signs and Banners

    Build signs and banners for your protest. See the box on page 15 forinstructions on building signs and banners. Photos throughout this manual showexamples. Get together to decorate your signs and have a good time!

    Color Scheme

    Your group might want to decide on a color scheme for your protest to bemore eye-catching. CSPAN has worn florescent vests at our protests. You can

    see CSPAN members wearing vests in the photos throughout this manual.

    Contacting the Media: The Press Release

    A good press release is part of the publicity for any event. It should bebrief, to the point and spell checked. Include the reason for the demonstration,all the groups endorsing it, date, time, place, and contact persons phonenumber. Fax it to media outlets. A sample press release follows on page 5.

    Select a press person just in case the media does show up. Large mediaoutlets might not cover our protests because they tend to be on the smaller side,but alternative media might cover it. In any case, DO NOT GET DISCOURAGED.Eventually media will have to cover our protests, but we are not doing thesetypes of events solely for the media, we are doing it to build our side of the fightand to show our opposition to the health insurance industry.

    Be prepared in advance to give press coherent press packets with contactnames of people prepared to speak on the topic right away. Develop pressrelationships with people you can rely on to report on your event and the single-payer movement with a positive perspective.

    Legal Right to Protest

    Contact the National Lawyers Guild to have legal observers at a protest ofinsurance companies:http://www.nlg.org

    Before your protest, learn more about your rights. See the followingdocument created by the National Lawyers Guild:http://www.nlg-la.org/righttoprotest.htm

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    Contact: Alison McKenna FOR IMMEDIATE RELEASE

    Tel: 312-555-1234Email: [email protected]

    LOCAL SINGLE-PAYER ADVOCAY GROUP ORGANIZES PROTEST OF BLUE CROSS

    BLUE SHIELD

    Event aims to increase public awareness about the Chicago-based effort to reform health care.

    CHICAGO, ILThe Chicago Single-Payer Action Network (CSPAN) is planning a protest of

    Blue Cross Blue Shield of Illinois. The protest, which is scheduled for Wednesday, August 29from 4 to 6 PM, will take place in front of Blue Cross Blue Shields corporate headquarters at

    300 E. Randolph. The group hopes that the event will call attention to the burgeoning effort in

    Chicago to enact a single payer health care system, as proposed in Illinois House Bill 311 and

    U.S. House Resolution 676.

    CSPAN is a grassroots organization dedicated to educating people about the benefits of thesingle payer health care system model. Recently created, its members share the belief that thebest way to correct the current failing system is to dismantle the private insurance companies,

    replacing them with a publicly run health services board.

    # # #

    If you'd like more information about this topic, or to schedule an interview with a representative,

    please call Alison McKenna at 312-555-1234 or e-mail Alison at [email protected]

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    During the Protest

    Getting Started

    You will find the following items useful at your protest: Bullhorn or

    microphone sound system, camera, sign-up sheets or petition, flyers,notepad, multiple pens, tape, signs and banners.

    Gather people up. If you have access to a bullhorn (you can buy one ofthese at Radio Shack for about $100-$120) or if you have a microphone soundsystem, speak into it to get everyone's attention and ask them to gather aroundyou. Don't forget to welcome everyone to the picket and mention the mainsponsor (in our case it was the Chicago Single-Payer Action Network orCSPAN). Also, say a little something about why we are all there.

    Police

    Sometimes the police or security will approach you about your plan for theprotest. It is best to introduce yourself, clearly communicate your plan in thesimplest of terms and reassure them you will not do anything out-of-the-boundsof the law.

    The Protest

    Encourage people to begin to protest or picket, probably best in a circle,and make sure someone is leading chants (see page 9 for chants). As morepeople gather, expand the size of the picket to include them and make sure

    those who want signs have them made available to them. March around for acertain amount of time to allow for the picket to become visible to passersby andto attract more people to participate if they want to.

    After marching for a while, it would be good to gather people back up andopen up the bullhorn or microphone for each group or for individuals (such ashealth care workers or students) to say a few words about why they are there,their experiences, why we need to protest insurance companies, how we canbuild a bigger, broader movement, etc. Solicit others in your group to find out ifthey know of anyone who in the crowd who may want to speak so everyone isgiven a chance to be represented. Give handouts to passersby.

    Talk informally to the people you dont know who have come to theprotest. Trying to get new people involved in your group is one of the key goalsof doing such a protest. Ask people to sign a sign-up sheet to get involved.

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    End on a Positive Note

    Wrap up the protest by thanking everyone for participating. End with achant to leave it on a good, positive note. Announce the next meeting or event ofyour single-payer group stating the time, date and place and encourage those

    who are interested to come and talk with you or anyone from your group (have afew people raise their hands to identify themselves as members). Also, it is veryimportant to thank your allies one-on-one and ask them what they thought of theevent, how they would improve the next one, etc.

    Representative Mary Flowers (IL) at a CSPAN protest

    Chants and Handouts

    See the box on page 9 for some of the chants CSPAN has used for

    insurance company protests. See pages 11 and 12 for a sample of a two-sidedhandout CSPAN used at a protest.

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    HEALTH INSURANCE COMPANY PROTEST CHANTS

    Patients,not profits!

    Profits,

    get off it!

    Hey hey!Ho ho!

    Health insurance companieshave got to go!

    Health insuranceis a lie!

    They don't careif people die!

    Everybody in!Nobody out!

    Insurers deny!People die!

    Get sick,go broke!

    Unacceptable!

    Health care! Not warfare!

    Keep your doctor!Lose the red tape!

    Fund the wounded, not the war!

    Blue Cross / Blue Shield,what do you say?

    How many claims denied today?

    What do we want?Health care!

    When do we want it?Now!

    Health care is a right!Health care is a right, hey!

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    C H I C A G O S I N G L E P A Y E R A C T I O N N E T W O R K

    Everybody in Nobody out! 11

    Prescription for our Sick Health Care System

    RxSingle-Payer National Health Insurance

    U.S. Nation al He alth Insu rance Act ( HR676) and (HB311) in IL.

    The Problem: A Failed Private Insurance System

    that Puts Profits Ahead of Patients

    The United States has the highest health spending in the world, yet 45 million Americans have no healthinsurance and millions more are under-insured and unable to access care. Illness and medical billscontribute to half of all U.S. bankruptcies. Prescription drug costs are the highest in the world. Even though

    other industrialized democracies spend less on health care, their citizens are guaranteed coverage for life,they live longer, and have better access to care.

    The Solution: Non-Profit National Health Insurance

    Americans spend more money for less coverage and care becausewe are the only industrialized country that allows for-profitinsurance companies to be middlemen in our health system. Intheir drive to enroll healthy (and profitable) patients and screen outthe sick, private insurers waste vast sums on billing, marketing,

    underwriting, utilization review and other activities that enhanceprofits but divert resources from care and hassle patients andphysicians. The paperwork they inflict on doctors and hospitalswastes hundreds of billions more each year.

    Replacing private insurance companies with a single-payer publicprogram - Medicare for All - would save about $350 billion peryear, enough money to provide guaranteed comprehensive health benefits for all. (New England Journal ofMedicine, 2003)

    Beware of Phony Universal Coverage: Many political candidates say they support universal health care

    but usually this just means making more Americans insurance company customers. (i.e. Illinois GovernorBlagojevich Plan SB 5). Real universal coverage means evicting insurance companies and establishing asingle-payer national health program instead.

    Nearly one-third of U.S. health spendinggoes to administrative costs and profits forinsurance companies instead of care -$2,300 per person.

    U.S. spends twice as much on health care

    than any industrialized nation, yet we rank37th in quality of care.

    Single-payer health care could save about$350 billion ($1,150 per person bysimplifying health administration).

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    C H I C A G O S I N G L E P A Y E R A C T I O N N E T W O R K

    Everybody in Nobody out!12

    How Would Medicare for All Work?

    Universal & Guaranteed:Everyone is

    covered for life, regardless of health oremployment.

    Comprehensive:Coverage for all medicallynecessary care, prescriptions, and home care.

    Free choice of doctor and hospital.

    Savings of $350 billion on bureaucracy

    would mean added coverage without addedcost.

    Helps job growth and the U.S. economy by taking the burden of health costs off ofbusiness.

    Get Active Locally to Win Universal Health Insurance for All

    Join Chicago Single Payer Action Network (CSPAN)

    o CSPANs next meeting is on Wednesday October 10th at Access Living (115W. Chicago Avenue) at 6:30pm. All are welcome!

    o [email protected] or call 312-555-5555 or 312-555-1234 to seewhat you can do to get involved.

    o Join the petition: Campaign around bills HB311 and HR676 and let yourrepresentatives know that you support single-payer health insurance.

    o Pass a resolution in your community, church, labor, professional or civic group

    endorsing HB 311 and HR676.

    o We are planning town hall meetings, rallies and speak-outs. We are open tohearing your ideas about how we can win Single-Payer!

    Get more information on Single Payer Health Insurance at the following sites:www.chispan.org, www.sickocure.org, www.pnhp.org, www.healthcare-now.org

    How Would a Medicare for All

    Health System Work?

    Every resident would receive a National Health

    Insurance Card. This card could be presented

    to any doctor or hospital for a full range of

    benefits. Patients would pay nothing out of pocket d

    they would receive no medical bills. Doctors

    and hospitals would be paid out of a single

    national health fund instead of a wasteful

    patchwork of insurance companies. The

    paperwork savings would be enough to providecoverage for all without spending any more.

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    After the Protest

    Report on your Success

    After your protest, send out a report so others will know what you did. The

    following is a CSPAN report to Michael Moore's website via Donna Smith(American SiCKO and American Patients for Universal Healthcare, APUHC) andillustrates how the picket felt the day of:

    CHICAGO -- On Wednesday, August 29, Chicago Single-Payer ActionNetwork's first action went off without a hitch in front of Blue Cross Blue Shieldof Illinois in Chicago.

    "We estimate between 40 to 50 people attended. It was energetic, loud andserious," reports Elizabeth Lalasz of CSPAN. She said the group formed a circlein front of the building and chanted, "Hey Blue Cross, what do you say, how

    many claims did you deny today?" and "People over profits, single-payer now."

    Several BCBS executives came out, as well as security, to make sure BCBSemployees didn't talk to any of the protesters. In fact, security made theemployees go out the side entrance in order to avoid the CSPAN group. So, thegroup moved the picket over to where the employees were coming out, and adecent number of BCBS employees took CSPAN flyers and Lalasz said several ofthem mouthed, "I agree with you." Later, CSPAN got word that BCBS employeesreceived an email directing them to not talk to the protesters.

    Some protesters showed up because of their own horrible experiences with the

    U.S. health care system. Amanda Jones, a 25-year-old from Cary, IL, wasdiagnosed with a rare neurological disorder, cavernous angioma, and has close to$300,000 in medical bills. Blue Cross, among others, has denied her coverage,because they say she has a pre-existing condition. "It's really horrible. We havebeen doing some fundraising to help her," Lalasz said.

    There were health care workers involved in the protest, including doctors, nurses,and social workers. Nursing and medical students also came to the event fromUniversity of Illinois-Chicago (UIC), Truman and Malcolm X Chicago CityColleges, and Northwestern University.

    There were a good number of groups represented at the protest as well: Physiciansfor National Health Plan (PHNP), National Nurses Organizing Committee(NNOC), Health-Care Now!, Metropolitan Seniors in Action, Older Women'sLeague, Health Care for All Illinois, American Medical Student Association(AMSA), International Socialist Organization (ISO), Progressive Democrats ofAmerica (PDA), Access Living, Green Party, and the Kucinich Campaign.

    Aside from last week's protest, CSPAN will do an action in Chicago in

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    conjunction with the action American Patients for Universal Health Care is takingon Sept. 28 in Washington, D.C. CSPAN will be at the State of Illinois building,highlighting Illinois patients from 4 to 6 p.m. on Friday, September 28. The eventwill feature State Representative Mary Flowers, who is the main sponsor of thesingle-payer bill in Illinois.

    Here is the link to the report:http://www.michaelmoore.com/sicko/blog/2007/09/standing-up-to-blue-cross.html

    Review your Protest

    Get together with your group and talk about what worked and what mightwork better next time. Record new contacts and email addresses collected atyour protest and follow up as necessary.

    The Power of Protest

    Protests, demonstrations and marches are critical to building a movementfor single-payer. Our movement has to be visible to the public and we mustremain in the face of those who oppose single-payer (the health carecorporations and politicians they buy). A protest is a statement that we areserious and willing to fight for what we believe - that health care is a human right.It also builds the confidence of the members of our organizations. There is nosubstitute for being with a group of like-minded people, chanting, picketing, andlistening to speakers, together in front of an insurance or drug company building.We also influence the people who work for these corporations. At thedemonstration in Chicago in front of Blue Cross / Blue Shield, security stoppedworkers from leaving all exits of the building where we had CSPAN membersstationed with petitions and leaflets. The Blue Cross / Blue Shield employeeswere forced to use a side door, but we got to them despite that trick.

    Most demonstrations will be small to medium in size, but DON'T GETDISCOURAGED. OUR MOVEMENT IS GROWING!

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    How to Construct Banners and Picket Signs

    Banners with Good Visibility (see photos on cover, bottom of page 2, and page 8):

    Create 3 x 8 vinyl banners (reusable):Support banner on 2-8 1x2s with 8 1x2 cross bar.Assemble with wood screws, or machine bolts, lock washers and nuts.

    Attach banner to supports with tie-wraps.Finally, sand and tape 1x2s. Tape will help protect hands from sharp edges.

    Picket Signs (see photos at top of page 2 and on page 10):

    Simple:Use wood slats or lath ( thick by 1 or 2 wide by 4 or 5 long).

    Use cheap masking or packing tape on the lower part to protect hands.

    Staple two pieces of poster board (15 x 24) to each side of wood slat using square pieces of clear plastic folder under staples to prevent staples from pullingthrough poster board. Staple the edges of poster board together to preventflapping.

    It is best to create entire assembly prior to event. Signs are hard to transport inbulk. Signs might not be reusable unless care is taken.

    Not Simple:5 1x2 handles (10 1x2, cut in half)Cut 5 length into 2 pieces:

    One piece: Height of poster board plus 3Other piece: remainder of 5

    Sand all edges of handle and then tape to protect hands.

    Make socket of aluminum channel to join these two 1x2 pieces.

    Attach 2 pieces of thin aluminum channel (4 long) to the edges of the handle1x2, this will form a socket that the bottom of the poster board 1x2 will fit into.

    Temporarily join the two pieces of the assembly using tie-wraps through holesdrilled in the two pieces of 1x2.

    Easy on-site assembly and disassembly and easy transportation:Tie poster board parts of sign together using string or wire through tie-wraphole in 1x2. Tie handle portions of picket signs together in a bundle.